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Started By
Message
re: Gary Kubiak had a "Mini-Stroke"
Posted on 11/4/13 at 8:38 pm to St Augustine
Posted on 11/4/13 at 8:38 pm to St Augustine
Mini stroke > Fake cancer, that's for sure.
Posted on 11/4/13 at 8:46 pm to lsu2006
That explains why they gave him tPA immediately. He evidently exhibited stroke symptoms and tPA has to be administered within 3 hours of the event to be effective.
FYI,
LINK
FYI,
quote:
tPA is an enzyme found naturally in the body that converts, or activates, plasminogen into another enzyme to dissolve a blood clot. It may also be used in an IV by doctors to speed up the dissolving of a clot. tPA should be given within three hours of symptom onset
LINK
Posted on 11/4/13 at 8:49 pm to tigerpimpbot
My dad had a TIA about 45 minutes before his stroke. The hospital was just about to release him to go home when the stroke hit. We were told they're often a precursor for a "real" stroke but not often enough that they can really do anything just because someone has a TIA.
In my dad's case the TIA was caused by a lessened flow of blood to the brain by a clot in his neck, but the clot broke loose so the TIA subsided, then the clot got to a place where his artery had a little more plaque and it lodged in his brain and he had a full on stroke.
In my dad's case the TIA was caused by a lessened flow of blood to the brain by a clot in his neck, but the clot broke loose so the TIA subsided, then the clot got to a place where his artery had a little more plaque and it lodged in his brain and he had a full on stroke.
Posted on 11/4/13 at 9:10 pm to Atari
Posted on 11/4/13 at 9:35 pm to Michael J Cocks
quote:
Mini stroke > Fake cancer, that's for sure.
:golfclap:
Posted on 11/4/13 at 9:50 pm to OldTigahFot
quote:
That explains why they gave him tPA immediately. He evidently exhibited stroke symptoms and tPA has to be administered within 3 hours of the event to be effective
This was confusing for me. Where was this administered? They made it sounds like it was on the sidelines? Have to have a ct scan before it's given. If a minor bleed then tPA killed him.
Posted on 11/4/13 at 10:00 pm to LSU alum wannabe
quote:
Have to have a ct scan before it's given. If a minor bleed then tPA killed him.
No you don't. You do have to either be a cardiologist or have a cardiologist OK it before it's administered but a CT scan isn't always necessary.
Posted on 11/4/13 at 11:27 pm to Atari
quote:
* DPH stroke care recommendations modified for BMC. Guidelines for Use of Intravenous tPA in Acute Ischemic Stroke Approved FDA use for LESS than 3.0 hours from initial symptoms Off-label use for 3 to 4.5 hours (see additional warnings box below) A. Indications New symptomatic ischemic stroke with clearly defined onset AND Onset of symptoms to tPA < 3.0 hours (3 to 4.5 hours with warnings below) AND Non-contrast CT showing no intracranial hemorrhage or well-established acute infarct (>1/3 MCA territory) AND Patient evaluated by in-house neurology Fellow or Resident and tPA approved by stroke attending (via phone or in person)
notice where the need for a ct is described, I certainly would demand a ct before i received tpa
Posted on 11/4/13 at 11:29 pm to Atari
quote:
cardiologist or have a cardiologist
oh, i get it. u are talking tpa for heart attacks.
keep up buddy, we are talking strokes
Posted on 11/5/13 at 1:13 am to RemouladeSawce
quote:
I've had them. They are not fun, certainly not the first time. They have never manifested in a sudden fashion like Kubiak though, I don't think that's standard. For me they always start with numbing of one side of the body and gradual loss of cognitive function. First time it happened I thought I was going to die, I couldn't read simple English or speak coherently. Subsided within an hour.
Dude, how old are you? Are you in a at-risk demographic or something? Have you made any life style changes because of it?
Posted on 11/5/13 at 1:23 am to Stingray
quote:
oh, i get it. u are talking tpa for heart attacks.
keep up buddy, we are talking strokes
You're right, not cardiologist. I was getting his doctors confused. You have to either be a Neurologist or consult one before it can be administered...but you don't always have to have a CT scan.
My dad was as a small rural hospital with no CT Scan capability but they administered TPA after calling the Med Center in Houston. They then lifeflighted him into Houston.
Posted on 11/5/13 at 6:39 am to Atari
He has carotid stenosis, this can be corrected by an angiogram.
Posted on 11/5/13 at 7:17 am to Atari
quote:
You do have to either be a cardiologist or have a cardiologist OK it before it's administered but a CT scan isn't always necessary.
Screw that. And a Neurologist better agree too.
If he has a little bleed and you give tPA, you may as well have shot him in the head.
And the sudden onset (apparently) of symptoms. He collapsed and could not open his eyes due to pain. That is like the "thunderclap" or "worst headache of my life." Would take some stones for a doc to ask for tPA without a CT scan.
Posted on 11/5/13 at 7:24 am to lsu2006
My dad had a mini-stroke 10 yrs ago and that was scary as shite. Really hope GK gets healthy again and never runs into this problem. Just scary.
Posted on 11/5/13 at 7:26 am to LSU alum wannabe
No way Kubiak got tPA without a CT scan showing no bleed.
And to the guy who has TIA's, I hope you take at least an aspirin a day, and have had a full workup (hypercoagulable workup since you're young, carotid dopplers, echo, and at least a holter monitor if not an implantable monitor to rule out paroxismal afib).
And to the guy who has TIA's, I hope you take at least an aspirin a day, and have had a full workup (hypercoagulable workup since you're young, carotid dopplers, echo, and at least a holter monitor if not an implantable monitor to rule out paroxismal afib).
Posted on 11/5/13 at 10:00 am to lsu2006
I was with my grandfather when the exact same thing happened to him. I was 13 and we were walking in his cow pasture when he just went to one knee and said he was dizzy and couldn't feel his arm. Scary situation but he was up and out of the hospital 3 days later.
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